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If your hospital is switching to an electronic medical record (EMR), this change is an excellent opportunity to start a much-needed dialogue with clinical areas.
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Typewriters were the only way to record a patient's information when Vicki Sanseverino began working as an "admit representative" at St. Elizabeth Community Hospital in Red Bluff, CA, in 1983, as there was no computer system in place at the time.
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Thirty years ago, the Master Patient Index (MPI) used by a hospital's registration and admitting department typically was maintained by medical records.
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Members of your patient access staff probably are reminded often that the clinical side of patient care is more important than gathering the proper information.
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When a trauma patient arrives via ambulance, access services staff must obtain information quickly, before the patient is taken for diagnostic tests or given medications, which make them drowsy.
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Many hospital associates believe that registration staff simply sit at their desk and greet patients, reports Barbara Blum, director of access, admitting, and registration at MedStar Health in Columbia, MD. "They have no idea what the registration staff's responsibilities include," Blum says.
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Research institutions increasingly conduct internal research site reviews or audits as a way to improve research regulatory compliance and prevent problems.
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In the fight against Alzheimer's disease dementia, researchers have long targeted beta-amyloid plaques, accumulated protein fragments in the brain that are a hallmark of the disease. The plaques are believed to contribute to the cognitive impairment associated with Alzheimer's disease.
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As the human research protection program at Mount Sinai Medical Center prepared for accreditation in 2010, IRB Manager Stacy Chandna says she and her colleagues knew they had a daunting task ahead.
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Transitioning to an electronic submission process is challenging. It also is a time when IRBs need to pay close attention to current compliance practices with an eye on updating standard operating procedures to reflect the new electronic practices and processes.
